Developing an approach to care for pregnancy and childbirth during the coronavirus disease 2019 (COVID-19) crisis is a priority to (1) provide safe care to pregnant women and newborns and (2) protect health care workers from infection. A study conducted in New York City reported a 13.5% prevalence of asymptomatic infection with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in women presenting for childbirth.1 On March 30, 2020, an initially asymptomatic woman admitted to the Yale New Haven Health system developed cough and fever soon after childbirth; testing confirmed SARS-CoV-2 infection. This event prompted the development of a SARS-CoV-2 screening and testing program of patients presenting for childbirth; we report the prevalence detected in the first weeks of the program.
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.
Corresponding Author: Katherine H. Campbell, MD, MPH, Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, 330 Cedar St, FMB 302, New Haven, CT 06520-8063 (firstname.lastname@example.org).
Accepted for Publication: May 11, 2020.
Published Online: May 26, 2020. doi:10.1001/jama.2020.8904
Author Contributions: Dr Campbell had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Concept and design: Campbell, Illuzzi, Sussman, Lipkind, Pettker.
Acquisition, analysis, or interpretation of data: Campbell, Tornatore, Lawrence, Illuzzi, Lipkind, Pettker.
Drafting of the manuscript: Campbell, Illuzzi, Lipkind, Pettker.
Critical revision of the manuscript for important intellectual content: All authors.
Statistical analysis: Illuzzi, Lipkind, Pettker.
Administrative, technical, or material support: Tornatore, Pettker.
Supervision: Lawrence, Lipkind, Pettker.
Conflict of Interest Disclosures: None reported.
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